Page 103 - Control Theory in Biomedical Engineering
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90    Control theory in biomedical engineering



                                       Stimulate
            Logistic                                                Loss
            growth                     Attack
                   Tumor cells T(t)              Effector cells E(t)
                                       Attack                      External
                                                                    input

                     Attack   Attack  Attack          Attack
            Logistic
                                                                    Loss
            growth
                   Normal cells N(t)   Attack    Chemotherapy u(t)
                                                                   External
                                                                    input
          Fig. 1 Schematic diagram of interaction of tumor cells, immune cells, and normal cells
          in the presence of chemotherapy treatment.

          u(t), at the tumor site. The parameters a 1 , a 2 , and a 3 are the three different
          response coefficients. v(t) represents the amount of dose that is injected into
          the system, while d 1 is the decay rate of the drug once it is injected. In this
          case, the quantity we will control directly is not u(t), but v(t). The tumor cells
          and normal cells are modeled by a logistic growth law, with parameters r i
          representing the growth rate of two types of cells: i ¼ 2 identifies the param-
          eter associated with the tumor, and i ¼ 3 identifies the one associated with
          the normal tissue. β 1 and β 2 are the reciprocal carrying capacities of tumor
          cells and host cells, respectively. The two terms  c 1 N(t)T(t) and  c 2 N(t)
          T(T) represent the competition between the tumor and host cells.
                              4
             Let C ¼ Cð½ τ,0Š, Þ be the Banach space of continuous functions map-
                                     4
          ping the interval [ τ, 0] into  with the topology of uniform convergence.
          It is easy to show that there exists a unique solution (E(t), T(t), N(t), u(t)) of
          system (3) with initial data ðE 0 ,T 0 ,N 0 ,u 0 Þ   C. For biological reasons, we
          assume that the initial data of system (3) satisfy E 0   0, T 0   0, N 0   0,
          u 0   0. For τ ¼ 0, the model is reduced to ODEs model developed by
          de Pillis and Radunskaya (2001).
             The main objective in developing chemotherapy treatment, in system
          (3), is to reach either a tumor-free steady state or coexisting steady state
          in which the tumor cells’ size is small, while the normal cells’ size is close
          to its normalized carrying capacity. To keep the patient healthy while killing
          the tumor, our control problem consists of determining the variables v(t) and
          w(t) that will maximize the amount of effector cells and minimize the num-
          ber of tumor cells. We use cost functional of the control with a constraint to
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